shutterstock_97947788 As I watch the business world's fascination with the electronic medical record (EMR) and all of the big data that it accumulates, I see more and more processes codified and treatment pathways carefully honed. Only one small thing remains until the computer can tell doctors how to behave based on the developed algorithms: To turn free text in the patient chart ...

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I once wrote about the communication difficulties caused by electronic medical records systems. The response on Twitter ranged from sentiments including everything from “right on, sister” to “greedy doctors are only complaining about EMRs because of their price tag.” The disconnect between policy wonk’s (and EMR vendor’s) belief in the transformative power of EMRs and exasperated clinician users of these products is jaw-dropping. Physicians are often labeled as ...

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shutterstock_196442450 A common complaint regarding the use of electronic medical records (EMRs) is that physicians spend the majority of their time with a patient “tinkering” on a computer rather than interacting with the patient. Use of EMRs is now mandatory in the U.S., creating many advantages: Patient information can be more easily shared in a secure environment, there are no lost files or ...

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shutterstock_164594111 An article from the JAMA has been gnawing at my consciousness for the last couple of weeks. Dr. Prashant Kaul and colleagues out of the University of North Carolina reviewed records from hospitals in the state of California from 2008 through 2011, looking for patients who had been hospitalized with heart attacks. Specifically, they were looking for patients with ST elevation ...

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shutterstock_169875926 The job of a nurse has changed dramatically over the last couple of decades. I’ve witnessed these changes at close quarters and heard feedback from nurses in several different hospitals. The biggest change undoubtedly is the interaction with information technology and the move away from paper charting. The theory behind this push, which is part of the federal government’s meaningful use policy, ...

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shutterstock_130682090 By the time the next decade rolls in there will be no paper charts. There will probably still be paper floating around in various capacities, but there will be no one charting on paper. The term “charting” itself may become obsolete, like yonder or popinjay. The term EHR, which is what replaces the paper chart, won’t last either because it doesn’t ...

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In recent months, Silicon Valley has surpassed Hollywood as America’s home for high-profile split ups. Last month, computer security giant Symantec announced its intentions to split in two. And three days before that, HP announced plans to divide up into parts. In September, eBay announced its intention to spin off PayPal. With enough twists and turns to fill a screenplay, the tech industry’s recent split-up saga raises a couple of ...

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I understand that for some, digital health still might be a bitter pill, but the promise of techno-medical mumbo jumbo is bold and transformative. That being said, in my opinion, the “secret sauce” to digital health might be a bit outside the conventional “drug development” methodology -- both in logistics and psychology. Therefore, I thought it would be fun to take a page out of IBM’s Watson playbook. IBM recently used “cognitive ...

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The policy known as meaningful use was designed to ensure that clinicians and hospitals actually used the computers they bought with the help of government subsidies. In the last few months, though, it has become clear that the policy is failing. Moreover, the federal office that administers it is losing leaders faster than American Idol is losing viewers. Because I believe that meaningful use is now doing more harm than good, I see these ...

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shutterstock_126687887 With the growing usage of EHRs, more and more doctors are bringing their computers and tablets with them into the exam room. But just because you’re using a computer in the exam room, it doesn’t mean that you’re using it properly. Computers can be one of the most beneficial tools you use in an exam room, or they can lead to ...

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